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�VUate No <br /> 9:1.6. 4: <br /> Systems .TMWASTE MANIFEST <br /> RtES <br /> BROWNING-FERRIS iNDUSTNON HAZARDOUS .SPECIAL <br /> i <br /> GENERATOR <br /> Generator Name <br /> ' U u'cr t- (rOM.ANY Generating Location <br /> Address ._ 450 E. GRANT= 20M ,. Address <br /> ' �'TEACY, Com` 95376BM� s.. <br /> Phorie'No. 2'' 0 ' f $ 3.. '5` '9 1� 3 r.3' Phone iVo 1* 3 <br /> y.,- -` s' <br /> Type <br /> BFI Waste Code <br /> N, ,Q. S o /I.$ � Z 3. .. � � 3 b Containers D-Drum <br /> Description of Waste Quantity Units No. T pe C-Carton <br /> / of B-Bag <br /> s <br /> SOr I 1n �i q.1 i <br /> T -Truck f <br /> LLL <br /> El P -Pound: <br /> Y-Yards <br />.. E:E= El El::] ElO-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 GFR.Part 260.10 or any applicable <br /> state law, is not a hazardous waste-as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for nsportation according to applicable regulations. <br /> i51 nature ' Shipment Date <br /> Generator Authorized Agent Name 9 <br /> TRANSPORTER <br /> ENo. -� Phone No. <br /> Truck _ <br /> Transporter-,Name U Driver Name (Print) <br /> Vehicle License No./State <br /> Address. <br /> e7, Vehicle Certification <br /> 1 hereby certify that the abo a named material was picked up I hereby certify that the above named material was delivered w <br /> at t enerator site listed above. out' ident to the destination listed below. <br /> A, �shipmentoae 7F7FIlure rig r i ature <br /> Delivery Date <br /> • Tim, • <br /> r <br /> Phone No. <br /> Site Name <br /> Address <br /> kn wledge.the foregoing is true'and occur; <br /> I hereby certify that the above named material has been,accepted and to the best of <br /> -- ei 1 Dale <br /> a .Name of Authbrized A enr S ure <br /> i S <br /> PASS CODE <br /> BF12C <br /> a <br /> 10186s <br /> a... 'UNLOADING-..AREA._C.QPY :_ .... <br />